Brent A Hall, PharmD, BCPPS
Pediatric Pharmacist Specialist
Assistant Clinical Professor, UCSF School of Pharmacy
Heidi Tran, PharmD
Emily Ingalls, PharmD
Please visit the ASHP Residency Directory “Special Requirements for Acceptance” section and share the requirements with those individuals writing your Letters of Recommendation in PhorCAS.
“The PGY2 Pediatric Pharmacy Residency program challenged me to continually grow as a pediatric clinical pharmacist. I am so grateful for the opportunity I had to learn from an amazing group of pharmacists that emphasized evidence-based medicine, encouraged one another for lifelong learning, prioritized teaching and mentoring, and also dedicated time to having fun outside of work. The program allowed me to strengthen my clinical knowledge and critical thinking skills and build my confidence as a pediatric pharmacist. I know that wherever my career takes me in the future, I will be able to apply what I learned from this residency program to continue providing the best care to our pediatric patients.”
–Maki Usui, 2022 UC Davis PGY 2 Pediatric Pharmacy Residency Graduate
“Originally when I arrived to UC Davis, I believed the pediatric residency program was a good choice to advance my career as a pediatric pharmacist. I quickly learned it was the best career decision I have made. Brent and the rest of the pediatric team grew my knowledge base, advanced my research skills, strengthened my literature interpretation and evaluation as well as built my confidence. The pediatric pharmacy residency program is designed accelerate the resident's growth beyond general practice. Every day I was challenged to understand the ‘why’ about medications, the advanced physiology of the body and then learned to relate pharmacotherapy to the physiology of the patient. Other than my tremendous growth throughout the year, the second thing that stood out amongst this residency program was the strong multidisciplinary relationships. From day one the medical attendings, residents, and nursing welcomed me on the team and aided in my learning. The UC Davis PGY 2 Pediatric Pharmacy residency program provided a positive learning environment that grew me in ways I wouldn’t have imagined.”
–Selena Warminski, 2021 UC Davis PGY 2 Pediatric Pharmacy Residency Graduate
The Pediatric Pharmacy Residency at UC Davis Medical Center is a one-year, PGY2 specialty residency in Pediatric Pharmacy Practice. During these 12 months, the program consists of concentrated training in all aspects of pediatric practice. This program is flexible in that it will adapt to the needs of the individual resident but will provide the basic foundation for quality pediatric clinical practice. The residency is supported by the Department of Pharmacy.
UC Davis Children's Hospital is the Sacramento region's only nationally ranked, comprehensive hospital for children. It is the central valley's only Pediatric Level 1 trauma center, and emergency department. This ‘hospital within a hospital' has 129 pediatric beds with NICU, PICU, Peds CICU, Hematology/Oncology and General Ward units. As a teaching hospital, it serves as an optimal location for training future practitioners. The pediatric area employs 12 FTEs dedicated to pediatric pharmacy practice. Pharmacists in this area are responsible for: 1 ) Review and verification of all medications prescribed to pediatric patients, 2) Preparation and dispensing of some pediatric medications, 3) Participation in medication safety committee and culture, 4) Acting as a drug information resource for physicians, nurses, pharmacists and other allied health care professionals, 5) Participating in multidisciplinary rounds with NICU, PICU, Pediatric CT Surgery, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Gastroenterology and Pediatric Ward Service teams, 6) Documentation of interventions, 7) Management of parenteral nutrition in cooperation with UC Davis Health dieticians, 8) Interpretation of drug levels via pharmacokinetic monitoring, 9) Patient and professional education.
Upon successful completion of the program, an appropriate certificate will be awarded to the pediatric resident by UC Davis Health.
Day in the Life of a Pediatric Pharmacy Resident
A typical day on my Pediatric Intensive Care Rotation includes arriving to the hospital early enough to look through patients. During that time, I collect information and evaluate my patients. After, I meet with my preceptor to give updates, recommendations, and plan for the day. I then head to multidisciplinary teaching rounds. Daily rounds include the attending(s), a fellow, medical residents, students, dieticians, nurses, and myself serving as the sole pharmacist. During rounds there are numerous learning and teaching opportunities. After rounds, I document updates for the patient and follow up on any outstanding questions. There are times where the medical residents and I meet to discuss difficult cases and evaluate literature that is dedicated to therapy for the patient.
Afternoons are dependent on the day. Either I will meet with my preceptor to go through patients more in depth, present a topic discussion, or attend meetings dedicated to my longitudinal projects. Some of the meetings are dedicated to pediatric medication safety, insightful seminars to learn how to prepare a research project, or professional enhancement that various preceptors across UC Davis offer. One afternoon every other week I attend cardiovascular clinic with a medical attending. During that time, I counsel patients and answer any medication related questions.
Time, throughout the day, flies by because there are always learning opportunities afforded to me. The continuous chances to grow personally and professionally is the reason why I am excited to come into work every day.
– Selena Warminski, PharmD, 2020-21 PGY 2 Pediatric Pharmacy Resident
PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.
UC Davis Health and Pharmacy Services
UC Davis Health is a major academic health center located in Sacramento, California. Pharmacy services recruits, hires and trains caregivers to provide progressive pharmacy services as collaborative team members to support optimal patient outcomes.
Learn more about the Department of Pharmacy Services
The major area of focus of this program is provision of pharmaceutical care in the area of pediatrics. As is the standard in today's health care system, this practice takes place in a multidisciplinary field and residents will have the opportunity to interact with clinical pharmacists, pharmacy technicians, pharmacy students, physicians, nurses, social workers, respiratory therapists, emergency medical services personnel, as well as patients and their families. Daily activities will include attendance to multidisciplinary rounds with bedside consultation for both physicians and nursing staff regarding therapy management, drug interactions, adverse drug reactions, and intravenous drug compatibility, among others. The resident will participate in all aspects of practice which include weekend staffing, emergency/code response, student precepting, student/resident/staff education, research project design and execution, and will be responsible for providing appropriate, timely, and accurate drug delivery to patients. The UC Davis Medical Center PGY2 Pediatric Pharmacy Residency is designed to meet the educational goals and objectives as outlined by the ASHP PGY2 Pediatric Residency Accreditation Standard.
The PGY2 Pediatric Pharmacy Residency is a full-time, one year commitment, beginning July 1 and ending June 30. Clearance to start work by UC Davis Health Employee Health and a Human Resources orientation meeting must be completed prior to July 1.
|Neonatal Intensive Care Unit (NICU)||4 weeks||Jessica Forster/Katarzyna Spyrka|
|Pediatric Intensive Care Unit (PICU)||4 weeks||Richard Haftmann/Selena Warminski|
|Pediatric CT Surgery (PCTICU)||4 weeks||Kristine Markham/Brent Hall|
|Pediatric Hematology/Oncology||6 weeks||Ha-Mill Mclearen/Amy Crandall|
|General Pediatric Wards||4 weeks||Brent Hall/Amy Crandall|
|Pediatric GI/Nephrology||4 weeks||Amy Crandall/Sharon Tau|
|Outpatient Clinic (CF, Specialty)||4 weeks||Jessica Ma|
|Administration||4 weeks||Andrew Lee|
|Orientation||4 weeks||Brent Hall|
|Pediatric Operations||Longitudinal (12 months with 3 weeks scheduled as primary pharmacist)||Rou-Yee Chenshu|
|Medication Safety||Longitudinal (12 months)||Ashley Trask|
|Journal Club/Grand Rounds/Didactics||Longitudinal (12 months – 1 Grand Rounds, 8 Journal Clubs, 4 DI Question Presentations, 1 Didactic Lecture at either Touro University or the University of the Pacific, 1 Pediatric Anesthesia Lecture)||Selena Warminski|
|Research||Longitudinal (12 months)||Depends on area of focus|
Resident's Role in Teaching:
UC Davis Medical Center offers many opportunities for both clinical and didactic teaching. The resident will be responsible for assisting preceptors with clerkship teaching for University of California, San Francisco (UCSF) and/or The University of the Pacific (UOP) pharmacy students as well as UC Davis Health PGY1 and PGY2 pharmacy residents. The resident will assume the primary preceptor role, with assistance from qualified ASHP preceptor for pharmacy students and PGY1 residents, when able. The pediatric resident will be required to prepare a grand rounds presentation on an appropriate pediatric topic, based on the resident's interests and a department needs assessment to be presented to the Department of Pediatrics MDs and NPs. In addition, the resident will complete on didactic lecture at either Touro University or UOP as well as provide a lecture for UC Davis Health anesthesiologists. Pediatric residents will participate in student research projects as opportunities become available and at the discretion of the resident and RPD.
Residency Research Project:
All UC Davis Health PGY2 residents are required to complete a research project during their residency. The pediatric resident will present their research at the Pediatric Pharmacy Advocacy Group Meeting in April & University of California Pharmacy Collaborative Conference in May. In preparation for conducting their research project, the resident will complete UC Davis Health IRB-required training and certification. The resident will prepare a project proposal, which will be reviewed and approved by the UC Davis Health Pharmacy Research Oversight Committee. The resident will also submit their project to the Pharmacy and Therapeutics Committee and the IRB for approval, before embarking on their research. Upon completion of the project, the resident will be required to summarize their research project in a manuscript suitable for publication as well as a poster or platform presentation. The resident will submit their project to an appropriate journal for publication.
The resident will also be required to complete a review article which will add to the current literature as well as be submitted to an appropriate journal for publication. This topic is at the discretion of the resident and RPD.
Pharmacy and Therapeutics Committee Activity:
The pediatric resident will be required to complete a medication use evaluation or a drug formulary review, as assigned by pediatric pharmacy management. The P&T Committee activity will be related to a pediatric product or topic. The resident will work with the pediatric pharmacy management team to determine the assignment, based on the resident's interests and the needs of the department.
The pediatric resident will participate in various committee activities, as assigned by the Program Director. Assignments will be determined based on current department initiatives. The purpose of the residents' committee involvement is to ensure the resident gains exposure to the pediatric pharmacist's role in activities related to quality-improvement, medication safety, safe handling of hazardous drugs, guideline development and assessment/implementation of technology and automation within the institution and pharmacy department. The committee in which pediatric pharmacists play a key role at UC Davis Health is Pediatric Medication Error Reduction Committee (MERC).
The pediatric resident is encouraged to maintain an active role in pharmacy and pediatric professional organizations. The resident is strongly encouraged to become an active member of the Pediatric Pharmacy Advocacy Group (PPAG) and American College of Clinical Pharmacists (ACCP) and attend their annual meetings The resident will be provided with some financial support from the institution and professional leave time to facilitate participation in professional development activities.
Pharmacy Department Service:
The pediatric resident is expected to provide ~300 hours of pharmacy department service. This expectation will be met primarily by providing pediatric pharmacist coverage one weekend every 3 weeks (15 weekends) plus one major holiday (Thanksgiving, Christmas Eve, Christmas Day, or New Year’s Day) and three weeks of operational shifts. A back-up pediatric pharmacist will always be available on site or on-call, to advise and support the resident as needed. Each Pediatric resident will serve as a practicing pharmacist in the pediatric satellite on every third weekend. From August through at least early October, the resident will be an additional pharmacist to assist the scheduled pediatric pharmacists. Starting no earlier than October and when deemed appropriate, as determined by licensure status, feedback from pediatric pharmacy team and the resident, the resident will work with fostered independence as one of the weekend scheduled pharmacists. The pediatric resident will be working in both an operational and clinical capacity during these weekend shifts and is responsible for TPN, kinetics, drug information, anticoagulation and any other clinical/dispensing duties that may arise during the course of a shift.
Pediatrics residents will assist in the resident recruitment and candidate selection process. This includes participating in any Pharmacy Showcases in which UC Davis Health participates, when appropriate. The pediatric resident will also participate in the residency showcase at the ASHP Midyear meeting occurring the first or second week of December. They will also be involved in the interview process by helping to select appropriate candidates for interviewing, organizing the interview schedule, providing packets to both interviewees and interviewers, collecting all interview associated evaluation materials, summarizing these materials, and participating in final ranking selection process.
BLS and PALS Certification:
Each pediatric resident is expected to successfully complete the Basic Life Support (BLS), and Pediatric Advanced Life Support (PALS) curriculum within the first two months of the residency. The goal is to ensure the pediatrics resident is familiar with and capable of providing BLS, and PALS in the event of an emergency.
Residents function as licensed pharmacists in patient care activities. As such, minimum knowledge in a variety of areas must be assured. Within one month of starting the Residency, the resident must complete competencies required of all clinical pharmacists. Basic Life Support (BLS) certification as well as Pediatric Advanced Life Support (PALS) are required.
Pediatric residents will be required to maintain a file on the institutional shared drive (“S drive”) under AC/Pharmacy/Resident throughout the residency year. This file will serve as the comprehensive resident portfolio, documenting completion of all residency and rotation requirements. This includes, but is not limited to, the following all presentations given during residency (lectures, In services, Journal Clubs, Competencies) and associated Evaluations; Duty Hours, Vacation Hours Worksheet; Disease State List with dates and preceptors; A copy of pharmacy school diploma and PGY1 Residency Certificate. Many of these items will also be stored in PharmAcademic.
Health, dental and vision insurance for resident and dependents, paid time off (PTO), extended sick leave, and professional development days. Use of leave must be arranged in advance with the RPD. Travel funds (~$2500) are included in the base salary. There is a stipend for scrubs.
Journal Club Presentations:
Overall Journal Clubs are held every 6 weeks (on average). This will be comprised of a total of 8 journal clubs during the year. The articles will be chosen by the Pediatric resident with guidance from the Journal club Preceptor to meet overall goals which are to exercise skills in critical thinking and literature evaluation. Selected articles will differ in research design, in order to expose the resident to various types of study design. Journal clubs will be made available to all staff and formally presented.
Pediatric Residency Advisory Committee
This group will be comprised of the Program Director and Core Preceptors to help to improve the educational experience, adjust the residency as needed based on concerns of the resident/preceptors and provide feedback to preceptors and residents. This meeting will take place monthly and will involve the PGY2 Residents as their input is immensely valuable in the execution of the residency program.
Resident Personnel Policies:
The following policies can be located in the Pharmacy Resident Personnel Manual
Pre-employment drug screening is a requirement of UC Davis Health.
Summary of requirements for successful completion of the PGY-2 Pediatrics Residency:
Pharmacy Residency training programs at UC Davis Health are conducted under the licensed entity within UC Davis Health which is UC Davis Medical Center.